Individual
DR. BRUCE HAROLD UTTERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
814 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 490-0419
(757) 490-0870
Mailing address
814 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 490-0419
(757) 490-0870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389874
ANTHEM
VA
01
—
578059
UNITED CONCORDIA
VA
Enumeration date
08/22/2006
Last updated
07/08/2007
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